Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 09673 | Date 30/07/2025 |
| Token No | SM/25-26/5642 01/08/2025 | Serial | 002 |
| Patient Name | Mrs. RUMA KARMAKAR | Contact No | 9163874384 |
| Address | 34/A TARAPUKUR LANE SERAMPORE 712203 | Age | 35 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||